<table cellspacing="0" cellpadding="0" class="grid" style="width: 100%">
    <tbody>
        <tr>
            <td style="width: 120px;" class="form_label">{translate}Treatment doctor{/translate}</td>
            <td class="form_input" style="text-align: left;"><span>{$treatmentDoctorName}</span></td>
            <td style="width: 125px;" class="form_label">{translate}Pre-diagnosis{/translate}</td>
            <td class="form_input" style="text-align: left;"><div>{$preDiagnosis}&nbsp;</div></td>
        </tr>
        <tr>
            <td class="form_label">{translate p1=1}Dr/Technician %s{/translate}</td>
            <td class="form_input" style="text-align: left;">
                 <span id="technicianId1"></span>&nbsp;
            </td>
            <td class="form_label">{translate}Executed time{/translate}</td>
            <td class="form_input" style="text-align: left;">
                <span id="created"></span>&nbsp;
            </td>
        </tr>
        <tr>
            <td class="form_label">{translate p1=2}Dr/Technician %s{/translate}</td>
            <td class="form_input" style="text-align: left;"><span id="technicianId2"></span>&nbsp;</td>
            <td class="form_label">{translate}Machine{/translate}</td>
            <td class="form_input" style="text-align: left;"><span id="machine"></span>&nbsp;</td>                   
        </tr>
        <tr class="last">
            <td class="form_label">{translate}Radiology doctor{/translate}</td>
            <td class="form_input" style="text-align: left;">
               <span id="doctorName"></span>&nbsp;
            </td>
            <td class="form_label">{translate}Additional service{/translate}</td>
            <td class="form_input" id="additionalServiceCol" style="text-align: left;">
                {html_checkboxes name="additionalServices" options=$additionalServiceList separator="<br/>"}&nbsp;
            </td>
        </tr>
        
    </tbody>
</table>